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News 1/13/15

January 12, 2015 News Comments Off on News 1/13/15

Top News

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Congresswoman Renee Ellmers (R-NC) re-introduces H.R. 270 – The Flexibility in Health IT Reporting (Flex-IT) Act, which aims to lower the Meaningful Use reporting period this year from 365 days to 90. The original co-sponsor, Rep. Jim Matheson, has retired, leading Ellmers to team up with Congressman Ron Kind (D-WI) in her efforts to help the bill gain the momentum it lacked when initially introduced last year.

“There is a tremendous need for our healthcare providers to have flexibility in meeting HHS’ stiff deadlines, and this is precisely why I am reintroducing the Flex-IT Act, “ Ellmers explains. “The time constraints imposed on doctors and hospitals are inflexible and simply unmanageable — and this is evident by the dreadful Stage 2 Meaningful Use attestation numbers released by CMS late last year. It’s hard to comprehend how HHS can move forward to full-year reporting when the numbers for 90-day reporting are so low — particularly when noting that half of the physicians in our country are now facing costly fines. Physicians, hospitals, and healthcare providers in our districts are eager for relief and are ready for this legislation to move forward. My colleague, Congressman Ron Kind, and I are committed to the passage of the Flex-IT Act.”


HIStalk Practice Announcements and Requests

January means it’s time for your HISsies nominations. Submit your choice for the worst vendor, the smartest vendor action taken in 2014, the industry figure of the year, and the all-important “Industry figure in whose face you’d most like to throw a pie.” The final ballot will contain the most-nominated entries, so think of this as the primary election that precedes the general one by a couple of weeks. For any industry newbies out there, the HISsies will be presented at HIStalkapalooza, our annual networking bash at HIMSS. Though it does cater to hospital folks, I can’t help but assume HIStalk Practice readers may also attend. This year’s party will take place the evening of Monday, April 13, at the House of Blues in Chicago. Stay tuned for invitation details.

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Speaking of HIMSS, Dr. Jayne kindly pointed out in a recent post that the opening reception will have a Speakeasy theme, so I’ve already begun hunting for Roaring 20s-inspired attire. Hopefully I won’t look like the only attendee who just stepped out of the Great Gatsby. Gentlemen, it’s time to dust off your spats. Ladies, let me know if you come across a wearable that counts dance steps, and looks good with diamonds and feathers.

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Watching: Pee-Wee’s Playhouse, courtesy of five seasons now available on Netflix. Watching these episodes as an adult makes me wonder if Wayne White, creator of Magic Screen and much more, should be credited with thinking up the iPad. You can learn more about his distinctly unique body of work in the streaming documentary “Beauty is Embarrassing.” 


Webinar

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January 13 (Tuesday) 1:00 ET. “The Bug Stops Here: How Our Hospital Used its EHR and RTLS Systems to Contain a Deadly New Virus.” Sponsored by Versus Technology. Presenter: John Olmstead, RN, MBA, FACHE, director of surgical and emergency services, The Community Hospital, Munster, Indiana. Community Hospital was the first US hospital to treat a patient with MERS (Middle East Respiratory Syndrome). It used clinical data from its EHR and staff contact information from a real-time locating system to provide on-site CDC staff with the information they needed to contain the virus and to study how it spreads. Employees who were identified as being exposed were quickly tested, avoiding a hospital shutdown. Mr. H keeps telling me what a great dry run Versus and John Olmstead have done, so I’ve signed up to listen in. The folks behind @VersusTech and I may do a bit of live tweeting, too.


Acquisitions, Funding, Business, and Stock

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Digital health investments show no sign of slowing down. Behavioral health technology startup Ginger.io raises $20 million to speed up development of its mental health technology. Khosla Ventures, True Ventures, and several other investors contributed to the Series B fund. Total investment in the company now amounts to $28 million since it was founded in 2010.

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Augmedix rounds up $16 million in Series A funding, led by Emergence Capital and DCM Ventures. The latest infusion of cash brings the San Francisco-based technology company’s total investments to $23 million. The investment is yet another indication that Google Glass, which powers Augmedix’s clinical documentation solution, may still have some life left in it.

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Atlanta-based Ingenious Med adds Ascension Ventures, Heritage Group, and Kaiser Permanente Ventures to its roster of investors, which also includes North Bridge Growth Equity. The company anticipates working with the new investors will open up enterprise opportunities for its IM1 patient encounter platform.

The Camden Group, a Los Angeles-based healthcare business advisory firm, acquires consulting firm Health Directions LLC for an undisclosed sum. The businesses will operate under The Camden Group name.

Praesidian Capital invests for a third time in Troy, N.Y.-based Etransmedia Technology. The undisclosed amount will be used to support Etransmedia’s merger with DoctorsXL, which offers RCM ad PM services.


Announcements and Implementations

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Tulane University Medical Group (LA) implements the eClinicalWorks Care Coordination Medical Record platform for population health management by its 350 physicians. TUMG has used eCW’s EHR since 2009.

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Atlantis Health Group chooses Influence Health’s Navigate population health management solution for a defined network of 1,650 physicians. AHG manages and works with over 20 physician-owned ACOs across the country.

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Software development firm Pointclear Solutions launches the Accelerated Solutions Center, a set of 14 services that will help healthcare IT vendors bring products to market faster. Pointclear customers include Emdeon, Greenway Health, and Walgreens.

Flatiron Health collaborates with the National Comprehensive Cancer Network to create the NCCN Outcomes Database. The cloud-based repository of NCCN member institution data, culled from their respective EHRs, will be aggregated to help identify care patterns and trends, and enable cancer quality and outcomes assessment. Member institutions will also be able to access Flatiron’s OncoAnalytics tool via the new database.

RubiconMD and CredSimple join Athenahealth’s More Disruption Please accelerator program. MDP is accepting applications from healthcare IT startups interested in sharing the company’s new office space in San Francisco.

A DrFirst market share analysis of EHRs used in New York finds that 80 percent of the ambulatory EHRs and 85 percent of the hospital EHRs are ready for the state’s I-STOP law that takes effect March 27, 2015. The law requires that all prescriptions be sent electronically from prescribers to pharmacies. New York pharmacies aren’t as well prepared as prescribers, however, with only 58 percent of them ready to accept electronic prescriptions for controlled drugs.


Government and Politics

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New York Governor Andrew Cuomo signs a telehealth bill into law that allows for health insurance reimbursement on a range of telehealth services. Assemblywoman Addie J. Russell sponsored the bill, which will go into effect in a few months. Fort Drum Regional Health Planning Organization Executive Director Denise Young explains that, “It’s been about eight years in the making – right from putting the fiber in the ground, to putting equipment in offices, to getting protocols in place to make this work for the patients of our region.”

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The Washington Examiner creates an interactive graphic showing the price tags of several flights taken by HHS personnel, and the reasons for the first- and business-class tickets. HHS executives spent $31 million taking 7,000 first-class and business-class flights between 2009 and 2013, including 253 trips for which a one-way ticket cost over $15,000.

The American College of Physicians urges Congress to: (a) repeal Medicare’s SGR formula; (b) continue Medicare’s 10-percent bonus for primary care; (c) restore the Medicaid program that pays primary care physicians no less than Medicare rates; and (d) provide relief from “burdensome and unrealistic” Meaningful Use requirements and “other excessive regulatory burdens.”

CMS extends its deadline for volunteer ICD-10 end-to-end testing to January 21.


Research and Innovation

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Intel develops the True Key password manager app, which replaces passwords with facial recognition. Unveiled last week at CES, the app works with webcams on Windows computers and Android phones, with an iOS release expected later this year. I asked Michael Trader, president of patient identity management company RightPatient, for his thoughts on the new technology: “Facial recognition is a good fit for Intel’s application because the technology is generic and offers distinctive advantages, mostly because it can be utilized with any off-the-shelf camera embedded in a PC, tablet, or phone. Expect to see a continued increase in the application of biometric identification technology in the healthcare industry as discovery of its utility and ability to protect sensitive data grows.”


People

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Miles Romney (Radiate Media) joins eVisit as CTO.


Other

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This article highlights the success of KiddoEMR, an app developed by Joseph “Joe” Cohen, MD and initially deployed at his Cedar Park Pediatrics (TX) practice. The homegrown technology is now in beta at 160 facilities nationwide, and houses data on 14 million children. Cohen seems to be a fan of all things Google, even Glass, but with a few caveats: “I could see Glass becoming even more useful when we can record more video without worrying about battery, but right now it’s simply not good enough, especially while the device costs $1,500.”

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Uproar from customers over a 2-percent surcharge to help offset ACA-related healthcare expenses at a Buffalo Wild Wings restaurant in Texas has led the eatery to rescind it just 24 hours after instating it. One disgruntled patron fussed over an extra 40 cents, while another made it clear that, “I probably would think twice about going back to that place if they were adding a surcharge.” Transparency about the surcharge is one thing, but an extra 2 percent at a wings joint to help your hardworking server see a physician when they need to is nothing to complain about. We should all be tipping just a bit more in these times of high premiums and even higher deductibles.


Sponsor Updates

  • Allscripts will integrate Perceptive Software’s enterprise content management into its EHRs, giving customers a common infrastructure for storing and sharing patient content.
  • Medicity publishes case studies on Trinity Health’s use of Medicity HISP to transmit information and Intermountain Healthcare’s lab results notification and public health reporting via Medicity Exchange. Brian Ahier, Medicity’s director of standards and government affairs, publishes an article with Wisconsin Statewide Health Information Network COO Jean Doeringsfeld titled “FHIR and the Future of Interoperability.”
  • Optum’s latest blog looks at how providers use analytics to better manage their populations and reduce costs.
  • nVoq releases a case study on the success Teleradiology Specialists (AZ) experienced with its SayIt cloud-based speech recognition technology.
  • Entrepreneur and author Sramana Mitra lists eClinicalWorks among those “Unicorn” companies that generate initial funding from sales rather than from financing in a profile for her upcoming book.

Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
Contact us online.
Become a sponsor.

JennHIStalk

News 1/8/15

January 7, 2015 News Comments Off on News 1/8/15

Top News

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Genentech, the U.S. unit of Swiss drug manufacturer Roche, invests $10 million in personal genetics company 23andMe. The funding will enable Genentech to access data from 23andMe’s Parkinson’s community – one of the company’s largest thanks to recruitment efforts by the Michael J. Fox Foundation – to help it discover new targets for drugs and diagnostic tests. “I think that this illustrates how pharma companies are interested in the fact that we have a massive amount of information,” says Anne Wojcicki, CEO and co-founder, 23andMe. “We have a very engaged consumer population, and these people want to participate in research. And we can do things much faster and more efficiently than any other research means in the world.”


Webinars

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January 13 (Tuesday) 1:00 ET. “The Bug Stops Here: How Our Hospital Used its EHR and RTLS Systems to Contain a Deadly New Virus.” Sponsored by Versus Technology. Presenter: John Olmstead, RN, MBA, FACHE, director of surgical and emergency services, The Community Hospital, Munster, Indiana. Community Hospital was the first US hospital to treat a patient with MERS (Middle East Respiratory Syndrome). It used clinical data from its EHR and staff contact information from a real-time locating system to provide on-site CDC staff with the information they needed to contain the virus and to study how it spreads. Employees who were identified as being exposed were quickly tested, avoiding a hospital shutdown.


Acquisitions, Funding, Business, and Stock

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LexisNexis Risk Solutions completes its acquisition of Health Market Science, which maintains a provider database of healthcare practitioners, organizations and their affiliations, as well as a medical claims warehouse. LexisNexis is working to integrate the proprietary data of HMS into its High Performance Computing Cluster Systems platform to help clients manage risk.

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Healthcare network development company VHA acquires consulting firm Medical Development Specialists. MDS founder Phil Dalton will join VHA as senior vice president.

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Tennessee tech accelerator Jumpstart Foundry decides to work only with healthcare technology startups based on the success of the seven it has already graduated. “[T]hose seven companies, about 20 percent of our graduates, have raised more than half of the money and have had a better success rate — meaning they’ve survived more than the average Jumpstart company,” explains Marcus Whitney, president. “I don’t believe that our healthcare founders were any better than our music tech founders or our social network company founders. But this ecosystem is just really well suited for healthcare companies. It really is.”

Staffing services company General Employment Enterprises acquires Jacksonville, FL-based medical scribe contractor Scribe Solutions.


Announcements and Implementations

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Quality of Life Health Services (AL) receives a $396,543 grant from the U.S. Department of Agriculture’s Rural Utilities 2014 Distance Learning and Telemedicine Grant Program, which it will use to set up telemedicine services at 10 of its clinics. QOL, which is contributing $198,828 in matching funds for bandwidth improvement, hopes to have the program up and running in 90 days.

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Arizona-based Sun Valley Medical Billing implements MD Coder 10 charge capture technology from Texas-based Medical Design Technologies to make its largely paper processes more efficient.

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ADP AdvancedMD will integrate its EHR with physician practice reporting from Iron Bridge Integration, giving customers access to pre-built connections to 57 registries in 48 states to help meet Meaningful Use Stage 2 requirements.

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Walgreens partners with WebMD to create Your Digital Health Advisor, a virtual wellness-coaching program at Walgreens.com. The program will allow users to create health and wellness goals, track progress, chat with a Walgreens pharmacist, and earn Walgreens Balance Rewards. The partnership will also integrate the rewards program, and refill and transfer prescription service into WebMD’s mobile app. The partnership comes just a month after Walgreens began offering virtual consultations with MDLive physicians via its mobile app.

Fruit Street Health launches its Wellness Clinic telemedicine and patient-monitoring solution, which includes video consult, payment and scheduling tools; plus integration with smart scales and wearables from FitBit, Jawbone, and Apple. I have to wonder how tolerant physicians will be of the tool’s alert system, which sounds off when a patient doesn’t get enough exercise and/or sleep, gains weight, or skimps on their fruits and veggies. It also begs the question, just what will docs do with all that data?


Government and Politics

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Healthcare.gov sign ups reach 6.6 million so far, including 103,000 who applied for insurance coverage just last week. Those numbers, which don’t include sign ups on state-run exchanges, point to the lowest number of uninsured Americans in years. A Gallup survey confirms the statistic: A poll found that 12.9 percent of adult U.S. citizens were uninsured during the last few months of 2014, the lowest percentage since Gallup began daily tracking of the uninsured in 2008.


Research and Innovation

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Physicians on the Health is Primary panel at CES share encouraging statistics related to their use of patient-facing apps at the point of care: Forty percent of surveyed family physicians use consumer health apps with their patients, and 70 percent of those have recommended preventative or healthy lifestyle apps. Concerns include app effectiveness, security and privacy, lack of access to data, and transparency and awareness of how the data is used by the app and its developers.

It doesn’t seem to be a great time to be a physician in New Jersey. The New Jersey Health Care Monitor survey finds that 90 percent of participants feel that the current healthcare environment has negatively impacted their role as a physician. Of that group, over 86 percent reported increased administrative burdens. Over 60 percent are spending less time with patients and more money on technology, while 53 percent are considering changing their practice structure.

Physicians responding to a Sermo poll name wearables-based remote patient monitoring and telemedicine as the top two expected trends of 2015.


People

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David Silberstein (Teradata) joins Leidos Health as service line director for analytics.

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Scott Whyte (ClearDATA) joins the WEDI Board of Directors.

Sharon Gabrielson (Mayo Clinic), Matthew Gibb (Carle Physician Group), Aric Sharp (UnityPoint Health), and C. Todd Staub (ProHealth Physicians) join the American Medical Group Association’s Board of Directors.


Other

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The Journal of the American Medical Association points out two threats to confidentiality created by EHRs – the potential disclosure to parents of health information adolescent patients may wish to keep private and disclosure to the adolescent of information that parents may wish to keep private. Their concerns seem especially valid given the Institute of Medicine’s push in November to include additional social and behavioral health measures to EHR certification and Meaningful Use criteria.

Consumer Reports adds new ratings on over 170 physician groups in California. Groups were rated on patient communication, timely care and service, care coordination, and helpfulness of office staff. As to be expected, the ratings show that all groups have room to improve, and patient experiences vary widely.

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Rarely do I come across the book of Genesis mentioned in the same breath as interoperability. Richard Davis, RN likens the efforts of healthcare IT vendors to the tower of Babel in this recent opinion piece:

“The Genesis Bible story of the tower of Babel tells it all when it comes to the software problem in health care. Consider the "city" the modern health care system and the time of one language when health care providers did not use computers and the parallels are striking. It may be a bit of a stretch to say that the God of the Bible set the precedent for modern health care software vendors, but too many of us are dealing with a confused language of all the earth.”

The 2015 healthcare industry resolutions and predictions keep coming. The Advisory Board offers three resolutions for healthcare organizations looking to implement population health initiatives, including using healthcare IT to scale coordination between care management teams. Amazing Charts includes accelerated EHR switching, more virtual consultations, and a continued glimmer of interoperability hope among its seven predictions for the coming year.


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
Contact us online.
Become a sponsor.

JennHIStalk

News 1/6/15

January 5, 2015 News 1 Comment

Top News

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The American Medical Association includes EHRs, Meaningful Use, and ICD-10 in its list of top issues to watch for in 2015. The trifecta is part of a broader category of administrative load and competing regulatory programs the AMA feels is “pulling time away from patient care without a direct benefit to care delivery or health outcomes.”


HIStalk Practice Announcements and Requests

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Happy New Year! It’s nice to be back after taking a break to spend time with family and friends during the holidays. If you’re like me, you may be suffering from social jet lag as you attempt to get back into your normal work routine. Like me, you also may have fallen into the time-honored trap of making resolutions. Mine include getting more sleep (doubtful), finding interesting healthcare IT experts to interview for HIStalk Practice (already in the works), eating better (sigh), and exercising on a more regular basis (i.e. get fit for HIStalkapalooza). I must admit I was this close to downloading some sort of fitness/nutrition tracking app on New Year’s Day, but decided against it due to my record of abandoning such things after a week or two. I’ve decided instead to focus on finding resources that push healthy recipes on a daily basis. Feel free to send your favorites my way.

January always finds a plethora of annual reviews and predictions delivered to my inbox. My favorites so far include TechCrunch’s Healthcare Predictions for 2015 and HIStalk Connect’s Top 10 Digital Health Stories of 2014.


Webinars

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January 13 (Tuesday) 1:00 ET. “The Bug Stops Here: How Our Hospital Used its EHR and RTLS Systems to Contain a Deadly New Virus.” Sponsored by Versus Technology. Presenter: John Olmstead, RN, MBA, FACHE, director of surgical and emergency services, The Community Hospital, Munster, Indiana. Community Hospital was the first US hospital to treat a patient with MERS (Middle East Respiratory Syndrome). It used clinical data from its EHR and staff contact information from a real-time locating system to provide on-site CDC staff with the information they needed to contain the virus and to study how it spreads. Employees who were identified as being exposed were quickly tested, avoiding a hospital shutdown.


Acquisitions, Funding, Business, and Stock

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UpSpring Baby partners with Doctor on Demand to incorporate its online lactation consultation services into the DOD telemedicine app. The deal came about via a pitch UpSpring Baby founder Julie Jumonville made via LinkedIn to DOD CMO Pat Batsu, MD. (Never has the “power of social media” been a more appropriate buzz phrase.) Given that I have had lactation consultants on speed dial for months at a time, I’m willing to bet new moms won’t blink an eye at spending $40 for an anxiety-reducing 25-minute video consult.

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New data from Rock Health shows that 2014 digital health funding exceeded $4.1 billion, a sum greater than that of the past three years combined. This year will likely see that figure climb even higher, given the growing number of finally viable telemedicine business models, and the over-hyped yet continually expanding wearables market.

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Healthcare analytics vendor Inovalon Holdings files for a $500 million IPO. The CEO and board chair is cardiologist Keith Dunleavy, MD. The company’s technology is used by NextGen, Greenway, Allscripts, and Walgreens.

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Specialty EMR vendor Modernizing Medicine acquires Aesyntix Health, which offers dermatology practice RCM, inventory management, and group purchasing services.

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Health management technology and remote patient monitoring services company Honeywell HomMed changes its name to Honeywell Life Care Solutions.

Qualcomm partners with Walgreens to integrate its 2Net Platform with the retail pharmacy’s mobile and web applications, and its Balance Rewards for healthy choices program. Novartis also selects the 2Net Platform to expedite the collection and aggregation of medical device data during clinical trials.

Private equity firm GI partners acquires Canadian healthcare IT company Logibec from OMERS Private Equity. US subsidiary MatrixCare will be retained by OMERS as a separate company.


Announcements and Implementations

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Northern Ohio Medical Specialists ACO goes live on eClinicalWorks Care Coordination Medical Records for population health management.

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Kentucky Health Center Network selects PopIQ software from i2i Systems to aggregate de-identified patient data from its 161 patient care sites across the state. The project is expected to wrap up in May 2015.

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South Carolina Sports Medicine & Orthopaedic Center selects Phreesia’s point-of-service technology to expedite patient check-in. Phreesia’s solution will integrate with the center’s Athenahealth EHR.

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Digital heart health company Qardio launches the QardioMD multi-patient monitoring tool and QardioBase smart scale at CES, which takes over Las Vegas for most of this week. The annual Digital Health Summit at CES kicks off today, featuring such speakers as HIStalk contributor and Cedars-Sinai CIO Darren Dworkin; Withings CEO Cedric Hutchings; Walgreens VP of Digital Health Adam Pelligrini; former ONCer Lygeia Ricciardi, now digital health expert at Clear Voice Consulting; and Dr. Phil, who will likely tout Doctor on Demand, the telemedicine company he started with his son in 2013.

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Medical practice performance management company GloStream chooses DrFirst’s EPCS Gold 2.0 controlled drug e-prescribing system to comply with New York’s I-STOP mandatory e-prescribing requirement.


Government and Politics

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CMS announces a second ICD-10 end-to-end testing period that will run from April 26 through May 1. Over 800 volunteer submitters will be selected to participate in testing with Medicare Administrative Contractors and the Common Electronic Data Interchange contractor. Volunteer forms are due January 9.

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HHS is on the hunt for vendors to run its National Data Warehouse, which captures, aggregates, and analyzes information related to beneficiary and customer experiences with Medicare and Healthcare.gov. Potential contractors must be able to demonstrate experience with “scalability and security in protecting data and information with customer, person-sensitive information including Personal Health Information and Personally Identifiable information (personal health records, etc.).” Interested parties have until January 19 to respond.

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Core Pediatrics (NH) physicians express their frustration over the state of New Hampshire’s stymied efforts to create a functioning vaccine registry. Opponents and proponents alike are in dispute over how people would choose to participate in the system and how their decisions would be recorded. The state, which has been working for the last 20 years to create VaxNH, is the only one in the country without such a registry.

Politico reports that the Office of Management and Budget has received proposed rules for Stage 3 of Meaningful Use, as well as a proposed rule changing ONC’s EHR certification program to “make it more broadly applicable to other types of health IT health care settings.” OMB will likely clear both proposals in the coming months.


People

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OB/GYN EHR vendor DigiChart promotes Rodney Hamilton, MD to president and CEO.

Forbes releases its 30 Under 30 list of entrepreneurs making a difference in digital health. Healthcare IT-related names include Nat Turner, Flatiron Health; Jason Bornhurst, Patient IO; Katelyn Gleason, Eligible API; David He, Quanttus; and Pelu Tran, Augmedix.


Research and Innovation

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A Xerox poll finds that 64 percent of respondents don’t use patient portals due in large part to a lack of communication about portal availability on the part of their physician. Over half of those non-users would be “much more interested and proactive in their personal healthcare” if given online access to their medical records.


Other

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HealthTap CEO Ron Gutman brings the concept of telemedicine back down to Earth in a PC Magazine interview: “I’ll be a bit contrarian and say that I don’t think telemedicine is changing anything. Telemedicine is a feature. We’re not feature-thinkers. We’re system-thinkers. We think about virtual care as a continuum, where telehealth is a feature in that. It’s necessary, but not sufficient.”

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This article highlights emerging trends in biometric identification that involve the nose, ears, heart rhythm, body odor, and even the gluteus maximus (cheekily referred to as “butt biometrics”).

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Journalist Steven Brill releases a new book, “America’s Bitter Pill,” detailing his views on why Obamacare won’t change the high prices of healthcare. Here’s hoping the book is as compelling a read as his similarly titled 2013 piece for Time Magazine, the longest story the magazine has ever run by a single author.

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In case you missed it, Fortune describes Athenahealth’s “More Disruption Please” conference as “the Animal House of corporate gatherings,” and contrasts the party atmosphere to skeptical investors who believe that Athenahealth shares are massively overvalued.

Tennessee doctors are diagnosing and treating people with flu by telephone or telemedicine, telling them not to come to the office for fear they’ll spread the virus to other waiting patients. The CDC has formally classified this season’s flu outbreak as an epidemic. Walgreens, which tracks prescriptions for antiviral medications, reports that the top areas for flu as of January 2 are cities in Kentucky, Missouri, Illinois, Texas, Tennessee, Virginia, and S.C.


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
Contact us online.
Become a sponsor.

JennHIStalk

News 12/23/14

December 22, 2014 News Comments Off on News 12/23/14

Top News

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CMS announces that 89 new ACOs will join the Shared Savings Program effective January 1, 2015. Aledade founder and former ONC chief Farzad Mostashari, MD wastes no time in celebrating that two will be official Aledade ACOs, with one in Delaware and the other spanning New York, Delaware, and Arkansas.


HIStalk Practice Announcements and Requests

Here’s the video from Ed Marx’s book launch last week for “Extraordinary Tales from a Rather Ordinary Guy.”


Acquisitions, Funding, Business, and Stock

Total Child Health joins the Allscripts Developer Program, integrating its Child Health and Development Interactive screening System (CHADIS) with Allscripts’ TouchWorks EHR.


Announcements and Implementations

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MFI Recovery Center, a California-based behavioral health provider, selects Core Solutions Inc.’s Cx360 as its second-generation EHR.  

Orion Health integrates Blue Shield of California historical data into the Cal Index HIE, and is working to do the same with data from Anthem Blue Cross. The data integration is part of a two-year project in which Orion Health will also deliver system analytics, improved care coordination tools, and patient engagement applications. Cal Index made headlines last week when Consumer Watchdog urged Californians to opt out of the payer-backed HIE, saying that it hasn’t explained its privacy policy clearly.


Government and Politics

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Rep. Renee Ellmers (R-NC) and 29 of her House colleagues urge HHS Secretary Sylvia Burwell to reduce the 2015 Meaningful Use Stage 2 reporting period from 365 days to 90.

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ONC releases the agenda and a handful of confirmed speakers for its annual meeting, scheduled for February 2-3 at the Washington Hilton in D.C. Attendees may want to stick around for the eHealth Initiative Annual Conference, taking place February 3-5 at the Omni Shoreham Hotel. If my MapQuest skills serve me right, attendees should be able to walk easily from one venue to the other.

The Supreme Court will hear King v Burwell on March 4. The case argues that the Obama administration overstepped its authority by providing federal subsidies to Healthcare.gov users when the ACA’s language only authorized subsidy payments for insurance acquired through state-run exchanges.


Research and Innovation

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Rock Health initiative XX in Health seeks feedback for its Women in Healthcare, 2015 Industry Survey. Results will inform Rock Health’s annual report on the state of women in the healthcare industry. Last year’s stats definitely showed room for improvement:

  • 29 percent of women are not satisfied with their ability to make an impact at work.
  • 40 percent who find education important aren’t satisfied with the opportunities available at work.
  • 63 percent lack a mentor.
  • 73 percent lack a sponsor.

This article highlights the work researchers at Johns Hopkins are doing to mine Twitter for direct tweets related to mental health diagnoses and language cues linked to certain disorders. Researchers hope to share their findings with public health officials to improve on the traditional (i.e. slow and costly) method of collecting data through surveys.


People

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NaviNet promotes Paul Johnson to vice president of platform implementation, and appoints Grant Ho (CareCloud) vice president of marketing and Stephen Hess (Ipswitch) vice president of product management.

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CompuGroup Medical US promotes Chris Lohl to VP of R&D, ambulatory information systems.

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Vermont Information Technology Leaders names Nancy Rowden Brock (World Learning) CFO.

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AMC Health appoints Paul Argay (Resolution Health) chief marketing officer.


Other

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Has telemedicine jumped the shark? Celebrity investor and entrepreneur Sir Richard Branson joins the hype cycle as part of a media campaign put together by the AMA, ATA, ANA, and Kaiser Permanente, among others. Branson is an investor in telemedicine company Doctor on Demand, which closed a $21 million round of funding in August.

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Westby G. Fisher, MD points out the danger of developing “skill-fade” as physicians become increasingly reliant on healthcare technology:

“[W]ho needs doctors at all if care is reduced to point and click?  While our new breed of physicians have never known medicine without a computer, will all of their study and preparation to become clinicians at the bedside be rendered moot as these young doctors find themselves little more than data entry clerks? How will we keep them clinically skilled? Homogenized mannequins programmed to respond to regimented scenarios? Computers and EMRs must inform the physician rather than mandate, instruct rather than impugn, encourage adaptation rather than thwart it, and always facilitate rather than inhibit patient care.”

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Connecticut Health Policy Project Executive Director Ellen Andrews takes the now defunct HITE-CT HIE to task upon release of a new report by state auditors highlighting deficiencies in financial controls, legal problems, and a “need for improvement in management practices and procedures.” A former HITE-CT board member, Andrews provides fly-on-the-wall insight into the management issues that really caused the state legislature to shut it down after spending over $4 million on its development: “The board fell apart and attendance at the monthly meetings waned as major decisions were made in small committees between meetings, and just submitted to the board as a done deal. Most meetings included long executive sessions, held out of public view, to discuss the continuing legal, personnel, and management problems.” The state is working to stand up another HIE through its Department of Social Services with many of the same players.

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Two students in the U.K. take wearables in a more relaxed direction with development of a device that prompts recording of your favorite T.V. program once it detects you’ve dozed off. The KipstR 3-D printed bracelet uses pulse oximeters to detect when dozing occurs, and then acts as the user’s remote to pause and record the show that was playing. Developed with help from Virgin Media, the device could also be used to determine emotional reactions to a show, prompting suggestions of similar programs. I’m willing to bet Netflix will soon appropriate similar technology as it looks to ramp up its original programming based on the viewing habits of its users.


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  • Greenway Health releases the latest version of its PrimeMOBILE EHR platform.
  • E-MDs becomes the first EHR to exchange provider information with the infectious disease registry of the Kansas Health Information Network, helping users comply with Meaningful Use Stage 2 requirements.
  • Greenway Health will sponsor pro golfer Blayne Barber, who will wear the company’s logo on his shirts.

Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis

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5 Questions with Toby Sadkin, MD Primary Care Health Partners

December 18, 2014 News Comments Off on 5 Questions with Toby Sadkin, MD Primary Care Health Partners

Toby Sadkin, MD is Executive Committee Chair at Primary Care Health Partners, a group of eight primary care offices located in Vermont and upstate New York. She is also the managing partner of PCHP’s Vermont offices, and the recipient of MGMA’s 2014 Physician Executive of the Year Award. PCHP uses version 11.4.1 of the Allscripts Touchworks EHR, GE Healthcare’s Centricity Group Management (fka Groupcast) PM system, and Microsoft Office. It employs 165 clinical and ancillary staff, which collectively see an average of 470 patients per day.

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Given that you have been overseeing EHR implementations since 2007, how have you seen that process change?
Our EHR implementation team has become more experienced and has developed a good, efficient process for training new users and for periodically updating and reviewing with current users. We continue to face challenges of periodic system errors, slowness, too many “clicks,” and the glitches (and expense) that come with upgrades and hot fixes.

Overall, our group embraced the move to the EHR and we try to use the system to its full advantage. However, we continue to struggle with some of the ongoing frustrations mentioned above. In some ways, we have lowered some of our expectations to try to tolerate the things we don’t like, trying to balance them against the many advantages of the EHR. All of our physicians and NPs are participating in Meaningful Use. At this time, some are in Stage 1 and others are in Stage 2.

In terms of workflow, what types of technology do you feel have had the most positive impact with regard to physician satisfaction and patient outcomes?
The EHR has made many significant, positive impacts. To name just a few:

  • The ability for multiple clinicians and staff to view and use the same chart at the same time.
  • The ability for the physician to access records remotely.
  • Electronic prescribing (keeping accurate and up-to-date medication lists with built-in interaction checking).
  • The ability to track quality measures for a multitude of chronic diseases and recommended health screenings.
  • Quick and easy access to references and patient education material.
  • The use of portals as a method to communicate with patients.

How do you feel about the current state of interoperability (or lack thereof)?
PCHP has capability to communicate among our own offices. There is currently not much for functional interoperability among different EHRs. We try to get by with interfaces for labs/results, but these are expensive and have been variable with reliability. We look forward to comprehensive interoperability among different EHRs, which will allow even better care for patients, giving physicians all the available clinical information regardless of where the services were rendered and eliminating unnecessary duplication of diagnostic tests. Very recently, HIE has become available for our region, and so PCHP is in the early stages of working through the logistics and hoping it will prove to be successfully functional.

Has your organization encountered any healthcare IT implementation challenges in the last year? Do you anticipate implementing any new technologies within the next year or two?
PCHP worked hard to be sure to get the necessary EHR update in order to meet the requirements for Meaningful Use, and also to be able to meet all the measures for high-level scores on our NCQA/patient-centered medical home recertifications. This required significant investment into hardware, software, and training. We continue to struggle with the right decision regarding disaster recovery/business continuity, as the best solutions are cost-prohibitive.

At the same time, the physician partners in PCHP have decided to do a full re-assessment of our EHR and want to compare to several other EHRs. To that end, we have a work group that will be doing this evaluation, thoroughly evaluating the advantages and disadvantages , and making a recommendation of whether to stay with our current EHR or to take on the daunting project of going through a conversion to another system.

What implementation best practices can you share with other providers?
It is important to have a dedicated EHR team, with representation that includes a variety of perspectives and expertise (We have administration, implementation staff, physicians, nurse, and IT). Our team started meeting from the time we made the decision to move to an EHR (eight years ago) and has continued this regular meeting schedule. This team guides all the decisions related to the EHR, takes in feedback and suggestions form the users, and keeps all the users informed with regard to any changes, system upgrades, and workflow recommendations. A combination of administration, IT, and implementation staff make up a help desk team that users can reach out to for troubleshooting.

Even as our group begins the process of reassessing our EHR and considering a possible change in systems, we are cautious to remember that in contemplating such a change, the grass may not be greener – just different.


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg, Lt. Dan, Dr. Travis

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice  updates.
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JennHIStalk

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